Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › MONTCLAIR › RITA DERAGOBIAN DDS INC

RITA DERAGOBIAN DDS INC

NPI: 1992127997 · MONTCLAIR, CA 91763 · Dentist

$20K
Total Medicaid Paid
736
Total Claims
581
Beneficiaries
12
Codes Billed
2018-01
First Month
2022-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 185 $8K
2019 172 $3K
2020 50 $1K
2021 264 $6K
2022 65 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 99 99 $4K
D2393 33 14 $3K
D2391 41 13 $2K
D0150 39 39 $2K
D2392 31 15 $2K
D1120 54 54 $2K
D1208 153 153 $1K
D0230 221 129 $1K
D0210 27 27 $1K
D1110 12 12 $990.00
D0274 14 14 $272.80
D0272 12 12 $110.00